Accreditation

Gray matters: Red alert

Briefings on Accreditation and Quality, December 1, 2009

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I will freely admit that things are a little calmer this year on the survey front, at least in terms of survey jeopardy (Preliminary Denial/Conditional Accreditation), but even though the 2010 survey year appears not to represent an increased risk in Environment of Care, there are still two areas (located in the Life Safety chapter) that can run you afoul of those most very adverse accreditation decisions:

o the management of Life Safety Code® (LSC) deficiencies through the Statement of Conditions/Plan For Improvement (SOC/PFI) process
o the management of Interim Life Safety Measures, which are actions that one would take to ensure that an appropriate level of life safety is maintained during various activities like construction and renovation projects

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